Virginia Orthopaedic Center P.C.

Virginia Orthopaedic Center P.C. was paid $41K by Medicaid between Jan 2018 and Sep 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoVIRGINIA ORTHOPAEDIC CENTER P.C.
CULPEPER, VA 22701

33aNPI1326091729assigned 05/18/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$41K

24GClaims1,265

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Virginia

Rank by total paid#25 of 79

Median peer was paid$6K

This provider vs. median6.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	606	$19K
2019	659	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	75%	1,018	786	$31K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	21%	167	139	$9K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	3.0%	63	30	$1K
72110		<1%	17	13	$349.84

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHENSON, MICHELLE (MANAGER)